CAJ | 학술논문

目的探讨保留子宫动脉上行支的子宫中心体切除治疗子宫良性疾患(包括子宫肌瘤、子宫腺肌病、难治性功血)的临床价值.方法以子宫体良性疾病且无生育要求的患者行保留子宫动脉上行支的子宫中心体切除术35例为研究组,同期同样疾病行传统子宫次全切除术35例为对照组,比较两组的手术时间、术中出血量、术后性生活质量、围绝经期症状,以及术前和术后3、6月、1年检测血清性激素水平.结果研究组术中出血量、手术时间、术后月经情况与对照组比较差异无统计学意义(P >0.05),出现围绝经期症状和性生活质量下降两组比较差异有统计学意义(P <0.05);研究组术前、术后性激素水平差异无统计学意义(P >0.05),对照组术后与术前比较 E2明显降低(P <0.05),FSH 明显升高(P <0.05),HL 无明显变化.结论子宫中心体切除术术式具有操作简单、安全易行,不影响卵巢功能、能满足患者既去除疾病又保留子宫的生理和心理需要,是子宫良性疾病无生育要求的年轻患者的首选.
목적탐토보류자궁동맥상행지적자궁중심체절제치료자궁량성질환(포괄자궁기류、자궁선기병、난치성공혈)적림상개치.방법이자궁체량성질병차무생육요구적환자행보류자궁동맥상행지적자궁중심체절제술35례위연구조,동기동양질병행전통자궁차전절제술35례위대조조,비교량조적수술시간、술중출혈량、술후성생활질량、위절경기증상,이급술전화술후3、6월、1년검측혈청성격소수평.결과연구조술중출혈량、수술시간、술후월경정황여대조조비교차이무통계학의의(P >0.05),출현위절경기증상화성생활질량하강량조비교차이유통계학의의(P <0.05);연구조술전、술후성격소수평차이무통계학의의(P >0.05),대조조술후여술전비교 E2명현강저(P <0.05),FSH 명현승고(P <0.05),HL 무명현변화.결론자궁중심체절제술술식구유조작간단、안전역행,불영향란소공능、능만족환자기거제질병우보류자궁적생리화심리수요,시자궁량성질병무생육요구적년경환자적수선.
@@@@ Objective To investigate the clinical value of the treatment for uterine myoma (including hysteromyoma, endometrioma, intractable DUB), which is central uterine body removal with reservation of ascending branches of uterine arteries. Methods Thirty five patients, which with uterine benign diseases and no fertility requirements on central uterine body removal with reservation of ascending branches of uterine arteries, were selected as a research group, while thirty five patients, which with the same diseases on traditional hysterectomy surgery, were selected as control group. The operative time, blood loss, postoperative quality of sexual life, perimenopausal symptoms of the two groups was compared and the serum sex hormone levels pre-operation and post-operation after three month, six month and one year were detected. Results There is no significant difference between these two groups (P>0.05) on blood loss, operative time, menstruation after operation. While there is statistical significance (P<0.05) between the two groups with perimenopausal symptoms appeared and sexual quality of life decreased. In research group, the sexual hormone levels differences preoperative and postoperative had no statisticaly significant (P> 0.05), and in the control group E2 was significantly decreased postoperative (P<0.05), FSH was increased markedly (P<0.05), and HL with no significant change. Conclusions Central uterine body removal was a simple, easy and effective method with no effect on ovarian function, which can meet the patient physiological and psychological needs, who want to cure disease as wel as preserve uterus. And it is the first choice for young patients with uterine benign diseases and no fertility requirements.